Individual provider Active NPI

Linda Maria Mendes, RPH

  • Pharmacist
  • Kissimmee, FL
National Provider Identifier
1255975009
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS55789 Issued in FL
Practice address
3250 Vineland Rd # 1
Kissimmee, FL 34746-4893
Phone
(407) 397-1202
Fax
(407) 397-1230
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS55789 FL Primary
Pharmacist 183500000X PH24736 MA

Addresses

Primary practice location

3250 Vineland Rd # 1
Kissimmee, FL 34746-4893

Mailing address

345 Admiralty CT # 1
Edgewater, FL 32141-7920
Phone (508) 212-7995

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmendes.s05420.us@wal-mart.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS55789FLMDPharmacist
PH24736MAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1255975009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ADMIRALTY CT # 1",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321417920",
            "telephone_number": "508-212-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 VINELAND RD # 1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464893",
            "telephone_number": "407-397-1202",
            "fax_number": "407-397-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "LINDA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55789",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH24736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmendes.s05420.us@wal-mart.com",
            "affiliation": "N",
            "address_1": "3250 Vineland Rd # 1",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347464893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.